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Contact Information

STEFAN HANISH, OD
6436 E. FLORIDA STREET
SUITE 102
EVANSVILLE, IN47715
 Phone: 812-200-8112
 Fax: 812-200-2823
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STEFAN HANISH · (Male)

NPI Number 1336614148
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/08/2018
Last updated 03/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 18004134A
  • IN Medicaid 300019943
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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